Concentra Remote jobs

Are you an accomplished Board Certified Orthopedic Surgeon physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data Concentra is an Equal Opportunity Employer, including disability/veterans

Lexington Medical, Inc. is hiring a Senior Regulatory Affairs professional to lead global medical device submissions and regulatory strategy. For candidates who are not local to the Boston area, this role can be remote with expectations to work primarily aligned with US East Coast business hours and be willing to travel periodically to Bedford, MA to spend time in-person with colleagues. Company Overview: Lexington Medical, Inc. is a medical device company designing and manufacturing advanced minimally invasive surgical stapling solutions. Based in the Boston area, we operate with a singular focus on engineering excellence, smart manufacturing, and rapid iteration. Our products are used globally in critical surgical procedures, and we compete in a $6B+ surgical stapler market dominated by legacy technology. Lexington is built for people who want to do meaningful, technically rigorous work in a high-expectation environment. We value learning capacity, ownership, and sustained excellence. Our teams move quickly, debate honestly, and take pride in delivering devices that improve patient outcomes around the world. Role Overview: This role reports to the Head of Regulatory Affairs and Quality and plays a central role in advancing Lexington Medical's product pipeline and global footprint. We are seeking a Senior Regulatory Affairs professional to own and drive regulatory strategy for new product development and global expansion. This role is intentionally flexible in level. Title and compensation will be aligned accordingly, as we care more about capability and impact than tenure or titles. We are open to hiring either: A Senior Individual Contributor who is deeply hands-on and has led complex submissions, or A Regulatory Affairs Manager who combines submission ownership with light people or program leadership. The unifying requirement is demonstrated excellence. We are looking for someone who has personally led medical device regulatory submissions and can operate independently in a fast-paced, engineering-driven environment. This role partners closely with R&D, Quality, Manufacturing, and Commercial teams and plays a key role in getting new products into the operating room. Responsibilities: This is a hands-on regulatory role with meaningful ownership across submissions, compliance, and day-to-day regulatory operations. Even if hired at the Manager level, this role remains deeply involved in execution. Lead and author regulatory submissions for U.S. and international markets, including 510(k)s, EU MDR technical documentation, and design dossiers Own regulatory strategy and execution for new product development programs from early concept through commercialization Serve as the regulatory representative on cross-functional product development teams, ensuring regulatory requirements are integrated throughout the product lifecycle Support ongoing regulatory compliance activities, including change order review, design change assessments, and maintenance of existing clearances and approvals Review and approve product labeling, instructions for use, and related materials to ensure regulatory compliance Maintain awareness of evolving global regulations, standards, and guidance, including FDA requirements, EU MDR, MDSAP, ISO 13485, and ISO 14971 Participate directly in regulatory correspondence and interactions with regulatory authorities such as the FDA and Notified Bodies Partner closely with Quality, Manufacturing, and Commercial teams to support audits, inspections, and day-to-day regulatory operations Qualifications: Bachelor's degree in Engineering, Science, Regulatory Affairs, or a related technical field Typically 5-15+ years of experience in medical device regulatory affairs Demonstrated ownership of FDA submissions as well as EU technical documentation Extensive experience with post-market surveillance, including complaint handling support, vigilance reporting, trending, and regulatory maintenance activities Experience with complex medical devices, including electromechanical systems and software-enabled products Working knowledge of international regulatory frameworks and standards, including EU MDR, MDSAP, ISO 13485, and ISO 14971 Strong written and verbal communication skills and the ability to influence cross-functional teams High attention to detail combined with sound judgment and the ability to manage multiple priorities in a fast-paced environment Ability to operate independently while partnering closely with engineering, quality, manufacturing, and commercial teams RAC certification is a plus, but not required Hint for applicants: the answer to the mystery question is 23. Company Overview & Disclaimer: Lexington Medical, Inc. is a surgical stapling company based in Bedford, MA, developing smart surgical technology for minimally invasive procedures. We are not affiliated with Lexington Medical Center. We're hiring top engineers and medical device sales professionals to help us grow and improve outcomes for patients worldwide. Salary Range$115,000-$185,000 USD

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum's EHR Services represents one of the fastest growing practices within Optum Insight's Advisory and Implementations business unit. The EHR Services practice is comprised of 600+ individuals across the U.S. and Ireland who are dedicated to improving the healthcare delivery system through the power of healthcare technology, specifically, the EHR and integrated applications and tools. By joining the EHR Services team, you'll partner with some of the most gifted healthcare technology thought leaders within the industry, collaborate with experienced consulting and healthcare leaders, and help partners capture the benefits of their EHR investment. Optum needs a strong Technical Project Manager with hands-on integration (interfaces and conversions) experience to play a crucial role in ensuring the successful execution of EHR Services implementation projects. You will be pivotal in effectively managing integration project teams working in conjunction with other project leaders for large projects, and in owning and running integration specific projects. Your expertise in project management methodologies and hands-on experience with interface and conversion implementations will be vital in coaching, mentoring, and overseeing the completion of tasks. Solid candidates for this role will be able to demonstrate self-motivation, individual leadership, and team collaboration. Most importantly, our EHR Services team will foster a culture of diversity and inclusion and drive innovation for our company and our clients. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Provide subject matter expertise in Epic Healthy Planet, including system design, build, testing, and implementation * Collaborate with leadership and end users to design and configure solutions, providing technical and clinical consultation, including workflow analysis and application configuration to support enhancements and issue resolution * Lead multiple small to medium-scale Epic upgrade initiatives and workflow enhancements through all project phases * Participate in design and validation sessions, ensuring thorough documentation, follow-up, and issue escalation * Maintain system documentation, including design specifications and build records * Monitor production applications and respond to incidents, including participation in 24/7 on-call support as needed * Execute all phases of testing, including unit, system, and integrated testing for EpicCare Ambulatory workflows * Analyze workflows, data collection, reporting needs, and technical issues to support solution development * Collaborate with training teams to develop and maintain application-specific training materials * Translate business requirements into functional specifications; manage system updates, enhancements, and release testing * Ensure compliance with organizational standards for system configuration and change control * Build and maintain strong relationships with end users, stakeholders, and business partners * Facilitate communication across teams from requirements gathering through implementation * Troubleshoot and resolve application issues, escalating complex problems as appropriate * Maintain deep knowledge of Epic functionality and operational workflows You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Active Epic certification in Healthy Planet and at least one additional application (i.e., Preferred applications: Ambulatory, Care Everywhere, EpicCare Link or MyChart) * 3+ years of experience in the healthcare industry * 2+ years of direct client-facing experience with healthcare domain knowledge such as clinical documentation workflows, patient portals, encounter closure, and patient flow management * 2+ years of experience with Epic implementation and/or support Preferred Qualifications: * Experience in department build and implementation of Community Connect locations * Experience with Refuel implementations * Proficiency with Excel, Visio, PowerPoint and SharePoint * Proven ability to lead cross-functional teams through clear, effective communication and strategic collaboration Key Competencies: * Time Management & Prioritization. Demonstrates exceptional time management, organizational, and prioritization skills, with a proven ability to manage multiple concurrent responsibilities in fast-paced, dynamic environments * Epic EMR Expertise. Possesses in-depth knowledge of Epic systems, including comprehensive experience across the full implementation life cycle of Epic's suite of applications * Collaborative Leadership. Exhibits a consultative and collaborative leadership style, with a strong track record of aligning cross-functional teams and driving results through shared goals and strategic execution * Relationship Building & Team Motivation. Effectively cultivates and maintains strong internal relationships, inspiring and motivating team members through consultative engagement and influential communication * Strategic Influence & Cross-Functional Collaboration. Demonstrates the ability to build strategic partnerships and influence stakeholders across organizational boundaries. Collaborates across teams, departments, and business units to drive solution standardization, promote reusability, and address complex business challenges * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The DBA is responsible for the overall database delivery of the Enterprise Data Warehouse for the Medicaid agency. It is a critical role involving expertise in working with Medicaid data itself, security, supporting and maintaining hardware and software, and ensuring we are achieving optimal performance. For example, the DBA is expected to provide a wide range of expertise including the ability to help a user to fetch data (requiring business knowledge) and the technical ability to support a major Teradata upgrade. This role requires regular onsite presence in Springfield, Illinois to perform backup/restore and support onsite maintenance by Teradata (and its subcontractors). This position will be part of our Data Engineering function and data warehousing and analytics practice. Data Engineering Functions may include database architecture, engineering, design, optimization, security, and administration; as well as data modeling, big data development, Extract, Transform, and Load (ETL) development, storage engineering, data warehousing, data provisioning and other similar roles. Responsibilities may include Platform-as-a-Service and Cloud solution with a focus on data stores and associated eco systems. Duties may include management of design services, providing sizing and configuration assistance, ensuring strict data quality, and performing needs assessments. Analyzes current business practices, processes and procedures as well as identifying future business opportunities for leveraging data storage and retrieval system capabilities. Manage relationships with software and hardware vendors to understand the potential architectural impact of different vendor strategies and data acquisition. May design schemas, write SQL or other data markup scripting, and helps to support development of Analytics and Applications that build on top of data. Selects, develops, and evaluates personnel to ensure the efficient operation of the function. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Manage, monitor, and maintain OnPrem Teradata hardware/software including patches, replacements, and upgrades with support from Teradata * Support data governance, metadata management, and system administration * Plan and execute tasks required to ensure the Teradata system is operational including occasional evening and weekend support for Teradata maintenance * Provide direction to developers on Operational, Design, Development, and Implementation projects to ensure best use of the Teradata system including review/approval of database components (such as tables, views, SQL code, stored procedures) * Performing database backup and recovery operations - using the BAR DSA and NetBackup * Developing proactive processes for monitoring capacity and performance tuning * Providing day-to-day support for the EDW users problems like job hands, slowdowns, inconsistent rows, re-validating headers for tables with RI constraints, PPIs, and configuration * Maintaining rules set in the Teradata Active System Management (TASM) and supporting workload management * Maintaining the Teradata Workload Manager with the proper partitions and workloads based on Service Levels * Supporting the database system and application server support for the Disaster Recovery (DR) build/test, annual drill, and quarterly maintenance as needed * Actively monitoring the health of the Teradata system and Teradata Managed Servers (TMS) using Viewpoint and other tools and application servers and make preventive or corrective actions as needed * Maintaining access rights, role rights, priority scheduling, and reporting using dynamic workload manager, Database Query Log (DBQL), usage collections and reporting of ResUsage, AmpUsage, and security administration etc. * Coordinating with the team and customers in supporting database needs and making necessary changes to meet the business, contractual, security, performance, and reporting needs * Supporting internal or external audit process and address vulnerabilities or risk proactively * Prepare and support IRS and internal audit * Coordinating with Teradata to perform Teradata system hardening and delivery of Safeguard Computer Security * Evaluation Matrix (SCSEM) Reports as needed, addressing issues in the hardening and vulnerability scan report * Generating and maintaining capacity management, Space, and CPU reports on analyzing the Spool, CPU, I/O, Usage, and Storage resources and proactive monitoring to meet performance and growth requirements * Reviewing and resolving Teradata alerts and communicating any risk / issues or impact to the management, team, and business users through appropriate communication strategy * Effectively reporting status, future roadmap, proactive process improvements, automation, mitigation strategies, and compensating controls to the management and clients * Leading database or data related meetings and projects/activities delivering quality deliverables with minimal supervision/direction * Sharing knowledge, coaching/mentoring other members in the team for backups * Performing additional duties that are normally associated with this position, as assigned * Responsible for front-end tool (OpenText Bi-Query) and model maintenance and administration You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 7+ years of experience as a Teradata DBA on Version 15+ (preferably 17+) and experience leading Teradata major upgrade/floor sweep * 5+ years of experience as primary/lead DBA with solid leadership and presentation skills * 5+ years of experience writing complex SQL using SQL Assistant/Teradata Studio * 3+ years of experience with Teradata 6800/1800 system or IntelliFlex * 3+ years of experience extracting, loading, and transforming structured/unstructured data using Teradata Utilities (FastLoad, Multiload, FastExport, BTEQ, TPT) in a Unix/Linux environment * 3+ years of experience performance tuning in a large database (>5TB) or data warehouse environment, using advanced SQL, DBQL and Explain plans * 3+ years of experience analyzing project requirements and developing detailed database specifications, tasks, dependencies, and estimates * 3+ years of experience identifying and initiating resolutions to customer facing problems and concerns associated with a query or database related business need * Data warehouse or equivalent system experience * Demonstrated excellent verbal/written communication, end client facing, team collaboration, mentoring skills, and solid work ethics * Demonstrated solid culture fit through integrity, compassion, inclusion, relationships, innovation, and performance Preferred Qualifications: * Teradata Vantage Certified Master * 5+ years logical and physical data modeling experience * 5+ years with Erwin or other data modeling software * 3+ years maintaining and creating models using OpenText BI-Query * 3+ years identifying and initiating resolutions to customer problems and concerns associated with a Data Warehouse or equivalent system * 3+ years working with end users/customers to understand requirements for technical solutions to meet business needs * 3+ years collaborating with technical developers to strategize solutions to align with business requirements * 3+ years defining standards and best practices and conducting code reviews * Experience working with project teams in metadata management, data/IT governance, business continuity plan, data security * Experience in Application Server Hardware/Software Administration (Windows/Linux) * Experience working in matrix organization as an effective team player * Experience working in agile environment such as Scrum framework and iterative/incremental delivery/release. * Experience in tools like DevOps and GitHub * Experience with State Medicaid / Medicare / Healthcare applications * Experience working in large Design Development and Implementation (DDI) projects * Experience upgrading to Teradata IntelliFlex * Knowledge/experience with Cloud databases such as Snowflake and migration from on Prem to Cloud project * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers-and their patients-are at the heart of what we do. Our mission is to empower our customers to advance healthcare, and our success starts with our teammates. Owens & Minor teammate benefits include: Medical, dental, and vision insurance, available on first working day 401(k), eligibility after one year of service Employee stock purchase plan Tuition reimbursement Job Description - Acts as primary support person for Inventory Supply Analysts. This role will research vendor product availability, investigate carrier status as well as follow up on interbranch orders and DC Purchase Orders with possible receiving issues. This role will also be asked to research items considered At Risk for new business in all locations, expediting product and making the appropriate updates to orders and inventory notes. This role will require updating supplier backorder and cancellation detail. Reviewing the Salesforce application cases on a daily basis, providing information for customer backorder reports. Assist with entering and processing ADM (Automated Debie Memo) returns to the Suppliers. Manage location (DC) Mailboxes timely. The anticipated pay range for this position is $22.00 hourly. The actual compensation offered may vary based on job related factors such as experience, skills, education and location. Core Responsibilities - Research product status with Suppliers and report this information back to the Customer Excellence Team. Will also update OMNI interface Purchase Order Notes and Salesforce at Risk Notes to make the information available to all teammates. Contact carriers to ensure that orders in transit to the locations are set with appointment to delivery in a timely manner. Create Off Cycle Vendor POs and Interbranch POs as requested for the Active At-Risk team. Comply with Supplier Order Minimums and order procedures to reduce loss of profit. Follow up on issues sent to Inventory Control team or DC Receiving teams Identify problem suppliers and escalate recurring issues such as consistent late orders, receiving discrepancies caused by damaged or missing product, and missed delivery appointments. Update item health database with ETA for new on boarding customers Answer/Forward emails as needed from the DL-BUY email address. Create and submit documents for Supplier Returns (ADM) Qualifying Experience - Bachelor's Degree preferred but not required. 0-2 more years of Inventory Supply experience (supply chain planning, inventory management, operations, manufacturing planning and/or forecasting) or any combination of education and experience to meet the above requirements. Demonstrated comfort dealing with large, demanding customers with complex distribution networks. Proven ability and willingness to develop relationships with customers (internal & external) Strong multi-tasking skills including ability to manage large amounts of data. Ability to think and act strategically in the business while focusing on day-to-day operational execution. Ability to work effectively in a constantly changing, fast paced team environment. Ability to build strong, collaborative relationships with internal and external business partners. Excellent organizational and influencing skills. Strong communication (written and verbal) skills; comfortable communicating at various organizational levels, and able to back-up thoughts with facts and analysis. Proficiency with Excel, other MS Office applications and data visualization tools (Power BI) Strong results orientation and work ethic, able to work independently. Flexibility to support multiple projects with ability to meet all deadlines. #LI-ST1 If you feel this opportunity could be the next step in your career, we encourage you to apply. Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

**Optum NV is seeking a Medical Oncology Resident Pathway to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.** At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Position Highlights:** + **_This is a temporary role intended for physician residents in their final year of training, interested in pursuing a full-time role with our group following completion of residency_** + **_OptumCare will educate and prepare physicians to join our group full time, providing a customized program with exposure to our radiation oncology team as well as Optum as an organization. The commitment requires only a few hours per month maximum_** **_Compensation & Benefits Highlights:_** + **_Physician Resident will receive an adjusted annual salary_** OptumCare Nevada, is Nevada's largest multi-specialty practice, with over 350 physicians and advanced practice clinicians. Our facilities include 22 medical offices, with 13 urgent cares and retail clinics, two lifestyle centers catering to seniors and two outpatient surgery centers. The practice is fully integrated and includes home health, complex disease management, pharmacy services, medical management and palliative care. OptumCare Nevada is actively engaged in population health management, with an emphasis on outcomes, and offers patients compassionate, innovative and high-quality care throughout Nevada. OptumCare Nevada is headquartered in Las Vegas, Nevada. OptumCare Cancer Care is seeking a Radiation Oncology Physician for our Radiation Oncology division located in Las Vegas, NV. This is an outstanding opportunity for a physician You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + **_M.D. or D.O_** + **_Transitioning into final year or early into final year of residency/fellowship_** + **_Board Certified/Board Eligible in specialty_** + **_Active unrestricted NV license and DEA or ability to obtain prior to employment_** *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy **California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington** **or** **Washington, D.C. Residents Only:** The salary range for this role is $33,280 to $41,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: 5,000.00 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Degree or Equivalent Minimum Years of Experience: 1 Year of Experience in Professional Coding or Related Field Substitutable Education & Experience (Optional): In lieu of 1 Year of Experience, will consider successful completion of the coding fellowship. Required Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director); * A CCA or CPC-A will only be eligible for those who have successfully completed the coding fellowship. Required Training: Experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997/2021); Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements. Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software. Essential Functions * Reviews and interprets hospital based professional services and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes. * Abstracts information into computer for reimbursement and statistical purposes. * Researches and stays current with trends in healthcare coding and compliance. * Keeps department manager up to date with any coding or documentation issues. * Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. Duties & Responsibilities * Works as a team with physicians, coding staff and other personnel to ensure proper and accurate code assignment and continuous quality improvement. * Responsible for assisting with coding claim edits and reviewing claim denials for correction. * Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. * Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: * Day ONE medical, dental and life insurance benefits * Health care and dependent care flexible spending accounts (FSAs) * Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. * Employer paid life insurance - equal to 1x salary * Employee may elect supplemental life insurance with low cost premiums up to 3x salary * Adoption assistance * LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment * Tuition reimbursement * Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Ensure targets are met or exceeded for assigned Market(s) * Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate * Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages * Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans * Solid focus on employee development and employee experience * Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets * Create provider targets for direct reports and assist in territory management penetration * Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans * Influence the development and improvement of operations/service processes * Drive the development and implementation of short-and-long range plans * Continually assess market competitiveness, opportunities, and risks * Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market * The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance * Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years of experience in a high impact role as a leader in the managed health care industry * 5+ years of Medicare Stars experience and HEDIS experience * Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans * Experience developing and improving operations / service processes including short and long range plans * Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work Preferred Qualifications: * Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois ) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As a Business Office Assistant, you'll be the backbone of our administrative team, supporting the Admin, Director of Nursing (DON), and Office Manager with essential clerical and computer-related tasks. You'll keep things running smoothly by handling filing, shredding, data entry, and processing workflow tasks with precision and efficiency. Your role is crucial in ensuring our office operates seamlessly. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Assist with routine clerical/office tasks, answer telephone calls, and deliver messages + Pull, review, and follow up on reports of orders recert and unverified visits + Maintain up-to-date medical records by scanning documents timely and completing EOE audits + Complete discharge chart reviews, perform audits, process orders to/from physicians, and track for timely receipt + Communicate professionally within the organization and with external sources (physicians, patients, family members, referral sources, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Computer skills, clerical-business machine skills, telephone communication skills, and be able to type + General clerical skills and organizational skills **Preferred Qualifications:** + Able to work independently and as a team member *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers-and their patients-are at the heart of what we do. Our mission is to empower our customers to advance healthcare, and our success starts with our teammates. Owens & Minor teammate benefits include: Medical, dental, and vision insurance, available on first working day 401(k), eligibility after one year of service Employee stock purchase plan Tuition reimbursement Job Description: The role of Corporate Learning & Development Specialist is tailored for a learning and development professional with experience in instructional design, training delivery, and/or project/program management. The selected individual will play a pivotal role in creating, delivering, and maintaining role-based, technical, and operational learning programs that enable teammates to build the skills necessary to succeed in their specific functions. The successful candidate will have a proven track record of developing learning solutions that enhance performance, improve operational efficiency, and accelerate time-to-proficiency. As part of the Learning & Development (GLD) team, this role will collaborate with subject matter experts, operational leaders, and business stakeholders to align learning initiatives with organizational goals and support a culture of continuous learning and development across Owens & Minor. The anticipated salary range for this position is $90k-$95k annually. The actual compensation offered may vary based on job related factors such as experience, skills, education and location. The ideal candidate will reside in the central/eastern time zone. Core Responsibilities: 3+ years' experience facilitating role-based and technical training to improve teammate performance, operational proficiency, and application of technical skills. 3+ years' experience developing and maintaining job-specific training materials, such as job aids, user guides, SOPs, quick reference guides, and technical e-learning modules. Demonstrates understanding and application of adult learning theory, performance-based learning principles, and instructional design models (e.g., ADDIE) to create engaging and effective technical learning solutions. Utilizes learning technology (e.g., Cornerstone LMS, Articulate) to deliver blended learning programs, manage training logistics, and track completion data. Collaborates with SMEs and business leaders to align learning solutions to operational and business needs, and continually improves programs based on feedback and performance outcomes. Performs special projects and completes all other duties as assigned Qualifying Experience: Associate's degree or higher preferred (or equivalent experience in L&D, Training, Instructional Design, or Operations). 3+ years' experience designing, delivering, and evaluating technical, system, or role-based learning programs, preferably in a corporate or operational environment. Strong planning, project management, and organizational skills to support multiple programs simultaneously. Must be able to perform work and thrive under minimal supervision (virtual work environment) and demonstrate the ability to handle issues and problems, knowing when and where to escalate complex issues Possess the ability to be flexible and adaptable in a fast-paced, ever-changing work environment Must have strong communication skills and the ability to work effectively within a team and individually Proficiency or willingness to learn Microsoft tools (Excel, PowerPoint, Word, Forms, Publisher, SharePoint, etc.) Possess the ability and desire to stay current on industry trends, tools, and techniques 3+ years' experience with learning technologies (Cornerstone LMS, Articulate, Camtasia, Captivate, Canva, etc.). Experience with Monday.com or similar project management tools a plus Experience creating microlearning content, eLearning modules, and operational process training strongly preferred. Willingness and ability to stay current on learning technologies, instructional trends, and best practices in technical training. ATD, SHRM, or other industry experience/certifications a plus The position is remote and located within the U.S. Some flexibility in start and end times may be necessary to support global projects, programs, and initiatives Minimal travel may be required, advanced notice will be provided #LI-ST1 If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis. Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers-and their patients-are at the heart of what we do. Our mission is to empower our customers to advance healthcare, and our success starts with our teammates. Owens & Minor teammate benefits include: Medical, dental, and vision insurance, available on first working day 401(k), eligibility after one year of service Employee stock purchase plan Tuition reimbursement The anticipated salary range for this position is $70,000 - $80,000 yr./. The actual compensation offered may vary based on job related factors such as experience, skills, education and location. POSITION SUMMARY Desktop Support Analyst within the Owens & Minor Global IT End User Experience Team. Provides technical support and troubleshooting for endpoint devices, including MacOS, Windows 10 & 11 laptops and desktops. Ensures timely resolution of issues to maintain operational efficiency and user satisfaction. As a key member of the End User Experience Team, collaborates with IT leadership to implement and uphold Owens & Minor's IT strategy, aligning with the overall business objectives. This position will primarily support US-based teammates and will align with typical continental US work hours, however this role will interact and collaborate with a larger global team. ESSENTIAL JOB FUNCTIONS: Support the Mission and Vision: Supports the mission and vision of Owens & Minor's Global Infrastructure Delivery Excellence organization, fostering a business-oriented culture and mindset driven by continual service improvement techniques. Provide Technical Support: Answer and resolve endpoint migration-related requests/incidents over the phone, Teams, remotely, or in-person efficiently and professionally as part of a global Desktop Support Team. Diagnose and Troubleshoot Issues: Offer Level One to Level Three solutions by diagnosing hardware, software, printing, and network connectivity issues, including LAN, WAN, WLAN, and VPN access in a MacOS, Windows 10/11 and Microsoft Office 365 environment. Configure Endpoint Devices: Configure endpoint hardware/software, including desktops and laptops, ensuring proper setup and functionality. Manage Incident Resolution: Proficiently manage the resolution of inbound requests and/or incidents, balancing the need for customer service and issue resolution. Communicate Technical Concepts: Effectively translate moderately complex technical concepts into easy-to-understand language to assist non-technically oriented customers. Record Interactions: Record all interactions with customers in an incident management tracking tool (ServiceNow) to ensure accurate documentation and tracking of issues. Install and Update Software: Oversee the installation and update of computer software on end-user computers as needed. Respond Timely: Respond to requests in a timely manner to ensure minimal disruption to end-user productivity within expected SLAs. Collaborate with Teams: Coordinate and escalate issues to other teams as needed, providing feedback to ensure an excellent customer service experience. Stay Informed: Stay abreast of new technologies and platforms, providing recommendations on emerging technologies that should be considered within the EUX Endpoint Lifecycle Management. Support Special Projects: Provide support on special projects and initiatives as business needs evolve, such as Windows 10 to Windows 11 migration. Maintain Best Practices: Collaboratively establish, update, and maintain best practices for the entire end-user endpoint lifecycle support process. Provide input on training programs designed to educate our computer users about basic computer use and specialized applications. SUPPLEMENTAL JOB FUNCTIONS: Performs additional duties as directed. Qualifications EDUCATION & EXPERIENCE: Associate's Degree in Computer Science, Information Systems, or related field of study, or equivalent work experience Minimum of 2-3 years of experience in IT support roles, specifically in desktop support or helpdesk environments Experience with MacOS, preferably how they interact with an enterprise environment such as Active Directory and Intune Recent demonstrated experience with management of MacOS-based devices using platforms such as Intune, Jamf and/or Addigy Experience with Windows 10/11 operating systems and Microsoft Office 365. Familiarity with endpoint device management, including installations, upgrades, and troubleshooting. Experience with incident management tools, such as ServiceNow, is preferred. Strong customer service skills and the ability to communicate technical concepts to non-technical users. KNOWLEDGE SKILLS & ABILITIES: Technical Proficiency: Strong knowledge of MacOS, Windows 10/11 operating systems, Microsoft Office 365, and endpoint device management. Problem-Solving Skills: Excellent troubleshooting skills for hardware, software, and network connectivity issues. Customer Service Orientation: Strong customer service skills with the ability to communicate effectively with non-technical users. Communication Skills: Ability to explain technical concepts (both verbally and written) in simple terms and document interactions accurately in incident management tools like ServiceNow. Time Management: Ability to manage multiple tasks and prioritize effectively to ensure timely resolution of issues. Team Collaboration: Ability to work collaboratively with other IT teams and escalate issues when necessary to ensure a seamless support experience. Adaptability: Willingness to stay updated with new technologies and adapt to changing business needs. Attention to Detail: Meticulous in following procedures and documenting support activities to ensure consistency and reliability. Analytical Thinking: Ability to analyze and diagnose issues systematically to find effective solutions. Professionalism: Maintain a professional demeanor and build positive relationships with end-users and team members. ADDITIONAL REQUIREMENTS: Ability to travel up to 10%; may include international travel If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis. Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. * Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor. * Provides coders with education and guidance on correct coding based on second level reviews. * Assists coding manager and coding department with coder questions, coding reviews, and coding inquiries. Codes inpatient accounts when coverage is needed. * Monitors and assists coding manager with DNFC management to goals. * Attends Tenet coding educations and maintains coding credentials. Under general supervision and with aid of Official Coding Guidelines, the Corporate Coding Coordinator codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. The Corporate Coding Coordinator is responsible for assisting the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. Assists the coding department with coding questions, reviews, or inquiries. Required: * 3-5 years acute hospital coding experience. * Skilled and working knowledge of MS Office suite. * Ability to analyze coding related reports and take action. * Associates Degree in Health Information Management. * RHIT or CCS certification. Preferred: * 5 plus years' experience in a large, complex, multi-system acute care hospital organization. * Bachelor's Degree in Health Information Management. * RHIA and CCS certification. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $30.00-$45.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, AD&D and life insurance * Paid time off (vacation & sick leave) * Discretionary 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center The Department of Radiology at Beth Israel Deaconess Medical Center, a major teaching hospital of Harvard Medical School, is seeking an enthusiastic, highly motivated, radiologist to join the Division of Musculoskeletal (MSK) Imaging and Intervention. The successful candidate will be appointed to an academic rank at Harvard Medical School (Instructor/Assistant Professor/Associate Professor) commensurate with experience, training and achievements. The candidate must be ABR-certified (or eligible) in diagnostic radiology and eligible to practice in the state of Massachusetts. Fellowship training in musculoskeletal imaging is highly desirable. Our MSK division is responsible for all aspects of musculoskeletal radiology, including radiography, CT, MRI, ultrasound, bone densitometry and musculoskeletal interventions. The MSK section is responsible for over 70,000 studies each year, performed at a network of academic and community sites linked via a PACS network. Currently, the Department has 11 MR scanners (including 1.5T and 3.0T GE research scanners) and 7 state-of-the-art CT scanners. The candidate is expected to have expertise in performing image-guided procedures (bone and soft tissue biopsies, pain injections, and arthrocentesis) using CT, fluoroscopy, and ultrasound. In addition, the department will be engaged in the newly announced and exciting clinical collaboration between Dana-Farber Cancer Institute (DFCI), BIDMC, and Harvard Medical Faculty Physicians (HMFP) to establish New England's only free-standing adult inpatient cancer hospital. The collaboration will bring together world-class clinicians to deliver transformational, precision medicine in an environment solely dedicated to defying cancer. It is expected that the candidate will participate fully in the clinical, teaching, and research responsibilities of the division. The teaching program includes two MSK fellows each year and a residency program of forty residents. Moreover, one-third of the Harvard medical students rotate on the MSK service. There is a large and comprehensive Orthopedics Department which includes an active orthopedic oncology, sports medicine, and orthopedic biomechanics groups that collaborate in joint research programs. We have additional research collaborations with other departments (internal medicine, neurology, podiatry) and institutions. The department will support remote work options. Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of the largest physician organizations in New England, dedicated to excellence and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote professional development and foster balance at work and home. HMFP physicians have faculty affiliations with Harvard Medical School (HMS) and provide care throughout the Beth Israel Lahey Health (BILH) system and additional hospitals across Massachusetts. For more information, please contact Ms. Andrea Baxter, Executive Assistant to the Chair, Department of Radiology; *************************, ************. For information about our medical center and department, please visit: ********************************************************

Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Revenue Cycle Analyst you will perform all revenue cycle reporting and analysis for revenue cycle leadership, operational teams, and accounting. This analysis consists of daily, weekly, monthly, ad ad-hoc reports using real-time data and information (financial, statistical and other data). The results of the analysis are then used to provide revenue cycle leadership and operations management (DVPs and other operations management) with real-time feedback. As the Revenue Cycle Analyst, you will have no direct report staff and solicits feedback from both Decision Support leadership and VP of Revenue Cycle. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Perform financial and reimbursement analysis to ensure accurate reimbursement and billing compliance + Conduct data mining to compile reports and provide healthcare analytics support for decision-making related to AR inventory reduction, denial management, and operational improvements + Compile and prepare data for use in forecasts, budgets, modeling, and analysis as requested + Compile statistical data for internal reports and regulatory agencies + Assist in creating a data warehouse with needed information (process started; work with IT to complete) + Collaborate with the revenue cycle team to regularly measure and improve business performance + Produce daily, weekly, and monthly revenue cycle reports in a timely, accurate, and consistent manner + Work with revenue cycle leadership to develop key performance indicators and improve reporting + Prepare variance analysis on under-performing agencies/PODs related to days unbilled, production issues, etc., and suggest operating improvements + Maintain excellent communication with supervisor, revenue cycle management personnel, and home office personnel + Actively participate in Monthly Operational Review meetings + Complete ad-hoc analysis projects as required (problem payer work, issue resolution, collection effectiveness measures, etc.). You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's Degree + 2+ years in a healthcare-related field + 2+ years in relevant Professional Accounting/Financial Analysis experience + Demonstrate superior analytical skills, both financial and statistical + Demonstrated a natural sense of urgency in all actions + Demonstrated ability to use modern accounting and financial software platforms and databases + Demonstrated solid proficiency in Microsoft Office applications. **Preferred Qualifications:** + Proven solid oral and written communication skills. + Excellent interpersonal skills + Ability to work alongside other management personnel to achieve high levels of operating performance. + Demonstrated ability to influence other personnel to produce improved operating outcomes. + Self-starter and self-motivated, able to consistently demonstrate these qualities in a fast-paced environment. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some ( You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations * With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability * Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts * Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately * Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems * 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects * Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered * Understanding of claims, recipient/eligibility, and provider/enrollment data processes * Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets * Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills * Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance) * Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed Note: Core customer business hours to conduct work is M-F 8 AM - 5 PM CST. Preferred Qualifications: * 2+ years of experience in HEDIS, CHIPRA or similar quality metrics * Experience with data analysis using Teradata Database Management System or other equivalent database management system * Experience using JIRA, Rally, DevOps or equivalent * Experience in large implementation or DDI project * Located within driving distance (3 - 5 Hours) of Springfield, IL * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Prepare and process various insurance claims, including electronic submissions for multiple payers + Verify claim data daily through communication with agencies and external personnel + Research and correct error claims to ensure clean claim production and submission + Review accounts receivable daily and follow up on delinquent accounts per established procedures + Recommend corrective actions based on account review findings + Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity + Maintain and update accounts receivable schedules to track issues and resolutions for reporting + Resolve customer requests, inquiries, and concerns promptly and respectfully You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 1+ years of medical billing and collections experience + Excellent oral and written communication skills + Solid organizational, analytical, and math skills + Basic proficiency in PC applications, including Microsoft Word and Excel **Preferred Qualifications:** + Home Health billing and collections experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Are you an accomplished Board Certified Surgeon? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data This position is an independent contractor role for Concentra. Concentra is an Equal Opportunity Employer, including disability/veterans

Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As a Billing Supervisor, you lead a team in managing accurate and timely claims processing, payment reconciliation, and account follow-up. You ensure compliance with regulatory standards, optimize billing workflows, and support staff through training and problem-solving. Your expertise in revenue cycle systems and payer communication helps drive efficiency and financial accuracy. This role is key to maintaining smooth operations and delivering high-quality service across the department. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Billing & Claims + Submit accurate, timely claims and follow up on outstanding balances + Maintain billing records and reconcile payments and deposits + Prepare required reports and adhere to billing schedules + Compliance & Process Improvement + Ensure compliance with policies and regulations + Update staff on payer changes and industry rules + Improve departmental workflows and documentation processes + Team Leadership + Supervise billing staff and manage daily workflow + Conduct performance evaluations and provide training + Support staff with complex issues and system challenges + Systems & Communication + Maintain knowledge of billing systems and act as vendor liaison + Train staff on system updates and assess understanding + Represent the department in meetings, audits, and cross-functional teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in a business-related field or equivalent experience + 3+ years of supervisory experience + 3+ years of medical revenue cycle management experience **Preferred Qualifications:** + Experience managing computerized billing systems + Experience with PC-based software programs + Knowledge of third-party payer rules and regulations + Understanding of Generally Accepted Accounting Principles (GAAP) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._